Provider Demographics
NPI:1558450239
Name:AMANTE, ROBERT M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:AMANTE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 DOYER AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1639
Mailing Address - Country:US
Mailing Address - Phone:914-948-3335
Mailing Address - Fax:914-686-3060
Practice Address - Street 1:56 DOYER AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1639
Practice Address - Country:US
Practice Address - Phone:914-948-3335
Practice Address - Fax:914-686-3060
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043892-11223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics